Idiopathic Copper Deficiency Myeloneuropathy Resulting in Paraparesis: A Case Report

Atraumatic spinal cord injuries can be due to inflammatory, vascular, and nutritional etiologies. Due to progression from these causes, the identification and initiation of appropriate treatment are of significant importance. This article explores a case of copper deficiency myeloneuropathy in a pat...

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Bibliographic Details
Published in:PM & R 2019-05, Vol.11 (5), p.554-557
Main Authors: Huang, Kevin, Lee, Debbie, Ingraham, Benjamin, Hijaz, Tarek A., Anschel, Alan S.
Format: Article
Language:English
Subjects:
Copper - deficiency
Humans
Male
Middle Aged
Paraparesis - diagnostic imaging
Paraparesis - etiology
Subacute Combined Degeneration - diagnosis
Subacute Combined Degeneration - etiology
Trace Elements - deficiency
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Summary:Atraumatic spinal cord injuries can be due to inflammatory, vascular, and nutritional etiologies. Due to progression from these causes, the identification and initiation of appropriate treatment are of significant importance. This article explores a case of copper deficiency myeloneuropathy in a patient initially thought to have an inflammatory transverse myelitis. The lack of response to antirheumatologic interventions prompted an extensive workup consistent with copper deficiency. This case stresses the importance of evaluating nutritional causes of myeloneuropathy. Level of Evidence V
ISSN:1934-1482
1934-1563
DOI:10.1002/pmrj.12005